FEC Form 1 for BURGESS 4 UTAHForm 1 for BURGESS 4 UTAH

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1482874

1. BURGESS 4 UTAH

PO Box 993
Riverton, UT 84065

NOTE: Address is different than previously reported

Email: burgess@pdscompliance.com;admin@pdscompliance.com

NOTE: Email address is different than previously reported

2. Date: 08/06/2020

3. FEC Committee ID #: C00725853 This committee is a Principal Campaign Committee. Candidate: BURGESS OWENS
Party: Republican Party
Office Sought: House of Representatives
State is Utah in District: 04

Affiliated Committees/Organizations

Committee ID# C00702902
OWENS FOR UT-04
PO BOX 30844
BETHESDA, Maryland 20824
Affiliated Relationship Code: Affiliated Committee

Custodian of Records:

Paul Kilgore
824 S Milledge Ave Ste 101
Athens, GA 30605
Title: Treasurer
Phone # (706) 534-7780

Treasurer:

Paul Kilgore
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Treasurer
Phone # (706) 534-7780

Designated Agent(s):

Michael Goode
824 S Milledge Ave Ste 101
Athens, Georgia 30605
Title: Assistant Treasurer
Phone # (706) 534-7780

Banks or Depositories

Eagle Bank
2001 K Street NW
Washington, DC 20006

Classic City Bank
2365 West Broad St
Athens, Georgia 30606

Signed: Paul Kilgore
Date Signed: 12/15/2020
Official Committee URL: burgess4utah.com

(End FEC FORM 1)

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